James K Fullerton in Springfield - Surgery
James K Fullerton - NPI 1760575229
James K Fullerton is a Surgery in Springfield, Illinois. James K Fullerton practices all healthcare services and medical treatments related to Surgery. The NPI Number for James K Fullerton is 1760575229. The last update date is 2020-05-22.
James K Fullerton's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541 and fax number 2175288962. The mailing address for James K Fullerton is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James K Fullerton |
|---|---|
| Address | 1025 S 6th St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | 2175288962 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760575229 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-05-22 |
Provider Mailing Address Detail
| Address | 1025 S 6th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| Fax Number | 2175288962 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 036-110732 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36110732 | IL | -- |
Post Comment/ Review Below
What is the James K Fullerton's 1760575229?
The James K Fullerton's NPI (National Provider Identifier) Number is 1760575229. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where James K Fullerton is physically located?
The James K Fullerton is situated at the following address: 1025 S 6Th St, Springfield, IL 627032403.
What is James K Fullerton's area of expertise and its corresponding taxonomy classification?
The James K Fullerton's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
When was the James K Fullerton's 1760575229 issued?
The James K Fullerton's 1760575229 was issued on 2006-10-02.
As of what date were the details related to James K Fullerton most recently updated or revised?
The information pertaining to James K Fullerton, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-22.
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